21D2314941 CLIA NUMBER - ASC DEVELOPMENT COMPANY LLC

Laboratory Demographics

  • CLIA Code: 21D2314941
  • Facility Name: ASC DEVELOPMENT COMPANY LLC
  • Facility Address: 16900 SCIENCE DR #100
    BOWIE, MD
    ZIP 20715
  • Facility Phone: 301 464-7008
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. WONG
  • NPI Number: 1225286354
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2314941
LAB Type Ambulatory Surgery Center
Facility Name ASC DEVELOPMENT COMPANY LLC
Street 16900 SCIENCE DR #100
City BOWIE
State MD
ZIP 20715
Phone 301 464-7008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. MICHAEL J. WONG

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This page was last updated on: 9/29/2025